Nevada Affidavit of Domicile
Introduction
I, [YOUR NAME], the undersigned, being duly sworn, depose and state as follows:
Statement of Facts
I am the duly appointed executor of the estate of [DECEASED'S NAME], who resided at [DECEASED'S ADDRESS], in the County of [COUNTY NAME], State of Nevada, at the time of their death on [DATE OF DEATH].
To the best of my knowledge, information, and belief, at the time of their death, [DECEASED'S NAME] was domiciled in the State of Nevada.
Attached hereto and made a part hereof as Exhibit A is a true and correct copy of the Death Certificate of [DECEASED'S NAME].
Sworn Oath
I do solemnly swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
Executed this [DATE] day of [MONTH], [YEAR].
[YOUR NAME]
Notarization
State of Nevada
County of [COUNTY NAME]
Subscribed and sworn to before me this [DATE] day of [MONTH], [YEAR], by [YOUR NAME], the executor, known to me to be the person who executed the foregoing instrument, and acknowledged that they executed the same as their free and voluntary act and deed for the uses and purposes therein set forth.
[NOTARY STAMP]
Notary Public
My Commission Expires: [EXPIRATION DATE]
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